Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $200.45 / $602.28	Facility		$97.70	$200.45	$602.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $127.01 / $285.20	Professional		$97.70	$127.01	$285.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.67 / $559.02 / $1,787.06	Facility		$362.67	$559.02	$1,787.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.12 / $172.93 / $172.93	Professional		$153.12	$172.93	$172.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Facility		$114.54	$114.54	$114.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $349.90 / $630.96	Professional		$114.54	$349.90	$630.96
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $148.90 / $148.90	Professional		$148.90	$148.90	$148.90
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $153.13	Professional		$114.54	$114.54	$153.13